August 10, 2020 meeting minutes ECE Project Group

August 10, 2020 meeting minutes ECE Project Group

 

Date

Monday 2020-08-10

Repeats 2nd Monday of every month

Time: 18:00 UTC 

 

Attendees

Bruce Goldberg
Former user (Deleted)
Jim Case
Yongsheng Gao
Phil Brown
Former user (Deleted)
Monica Harry
Ed Cheetham
David Robinson
Rob Hausam
Robert McClure (Unlicensed)
Former user (Deleted)
stefan.schulz (Unlicensed)
Former user (Deleted)
Daniel Karlsson
Cathy Richardson 
Krista Lilly 
Nicola Ingram 
Jeff Pierson (Unlicensed) 




Apologies

Former user (Deleted)

 

 

 

General Comments

 

Item

Description

Owner

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Comments/Files

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Description

Owner

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Comments/Files

0

Reminder to record call

1

Welcome and role call

Bruce Goldberg

  • Request for more direct involvement of group members in identifying topics for discussion and development and testing of concept models

 

2

After and due to

Bruce Goldberg

  • Discussion ensued as to whether "due to" implies after

    • Likely the case for traumatic injuries (after traumatic event)

    • Need evaluation for other combined disorders

  • Bruce Goldberg to test moving Due to (attribute) under After (attribute)

  • Bruce Goldberg to find examples where due to may not imply after and where after may not imply due to

  • General agreement that after and due to should remain distinct

  • Use due to, after or due to and after based on FSNs

    • Exceptions

      • 239182004 |Skin graft hematoma (disorder)|

        • Due to 304040003 |Grafting to skin (procedure)|. Should be after 04040003 |Grafting to skin (procedure)| (+/- Due to)

      • Disorders due to exposure to substance events

        • Model as after exposure + causative agent substance

3

Fetal/maternal modeling

Phil Brown

  • Phil Brown to test a new attribute to associate fetal/maternal states with procedures

  • Phil Brown demonstrated in an author test task the use of a new attribute, Recipient period with a range of 450426006 |Fetal or neonatal period (qualifier value)| to define procedures on the fetus occurring during different stages of pregnancy

  • Advantages include identification of duplicate concepts and being able to sufficiently define current intermediate primitives

  • Phil Brown to continue to pursue this area

4

Pregnancy/labor/delivery function observables

Bruce Goldberg

  • Proposal to inactivate these

  • Tabled for a future call

5

Modeling of hemorrhage

Bruce Goldberg

  • Hemorrhage as a disorder vs. finding

  • Finding site of hemorrhage

  • Main discussion - Finding site for hemorrhage of X (disorder)

    • X (body structure)

      • Advantage - simplicity

vs.

    • Y Blood vessel of X (body structure) if blood vessel is part of body structure

    • 2 role groups: Damage + Y blood vessel structure and hemorrhage + X (body structure) if bleeding is into a space

      • Advantage - aligns with ICD-11 which interprets hemorrhage as blood vessel disorder.

      • Disadvantage - requires much work

    • ... to:

      • Determine which hemorrhage of X concepts not modeled with Y Blood vessel of X (body structure)

      • Investigate how to determine which hemorrhage of X concepts refer to spaces

  • Hemorrhage of blood vessel (disorder) vs. Bleeding (finding) needs further evaluation

 

Non-traumatic brain injuries and stroke

Bruce Goldberg

  • Concern voiced over losing causative condition as a parent.

    • Needs more discussion

    Bruce Goldberg to retest model of 724994008 |Cerebral ischemic stroke due to stenosis of extracranial large artery (disorder)| using due to 1055001 |Stenosis of precerebral artery (disorder)| 
  • Tabled for a future callTabled for a future call

7

Botulism

Bruce Goldberg

  • Proposed model for botulism and subtypes

  • Tabled for a future call

8

AOB, adjourn

ALL

  • AOB

 

 


 

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